Percutaneous pigtail catheter in the treatment of pneumothorax in major burns: The best alternative? Case report and review of literature

Abstract Multiple factors place burn patients at a high risk of pneumothorax development. Currently, no specific recommendations for the management of pneumothorax in large total body surface area (TBSA) burn patients exist. We present a case of a major burn patient who developed pneumothorax after...

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Bibliographic Details
Published in:Burns 2015-05, Vol.41 (3), p.e24-e27
Main Authors: Sebastian, Raul, Ghanem, Omar, Diroma, Frank, Milner, Stephen M, Gerold, Kevin B, Price, Leigh A
Format: Article
Language:English
Subjects:
Body Surface Area
Burn wounds
Burns - therapy
Catheterization, Central Venous - adverse effects
Central venous catheter
Chest Tubes
Critical Care
Humans
Major burns
Male
Percutaneous
Pigtail catheter
Pneumothorax
Pneumothorax - etiology
Pneumothorax - surgery
Small bore chest tube
Thoracostomy - instrumentation
Thoracostomy - methods
Young Adult
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Summary:Abstract Multiple factors place burn patients at a high risk of pneumothorax development. Currently, no specific recommendations for the management of pneumothorax in large total body surface area (TBSA) burn patients exist. We present a case of a major burn patient who developed pneumothorax after central line insertion. After the traditional large bore (24 Fr) chest tube failed to resolve the pneumothorax, the pneumothorax was ultimately managed by a percutaneous placed pigtail catheter thoracostomy placement and resulted in its complete resolution. We will review the current recommendations of pneumothorax treatment and will highlight on the use of pigtail catheters in pneumothorax management in burn patients.
ISSN:0305-4179
1879-1409
DOI:10.1016/j.burns.2014.08.016